Clinical diagnosis and treatment planning for periodontal diseases

Introduction Periodontal diseases are one of the most prevalent oral diseases associated with teeth. Our current knowledge suggests that along with local factors, there are many other factors responsible for periodontal disease progression. These include genetic factors and environmental factors like smoking, stress etc. An accurate diagnosis and appropriate treatment planning require a thorough knowledge…

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Radiographs in the diagnosis of periodontal diseases

Introduction Radiographic diagnosis is a challenging task in periodontics. This is primarily because the conventional radiographs provide us the two dimensional image of a three-dimensional object. Thus, it becomes essential that the patient is diagnosed on the basis of combined information obtained from clinical and radiographic findings 1. The radiographs are broadly classified as extraoral…

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Trauma from occlusion

Introduction to trauma from occlusion Do abnormal occlusal forces play a significant role in the initiation and progression of periodontal diseases? This question has been our focus of attention for many years. It is generally accepted that trauma from occlusion (TFO) or occlusal traumatism is a separate entity, not related to periodontitis. But, when both…

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Occlusal adjustment / harmonization in periodontics

Introduction to occlusal trauma Occlusal trauma is detrimental to periodontal health. It may act as a cofactor which can increase the rate of progression of an existing periodontal disease. Thus, elimination of occlusal trauma is essential to achieve complete periodontal health. The first and foremost principle for the initial treatment of patients diagnosed with periodontitis…

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Temporomandibular joint and occlusion

Introduction to occlusion Occlusion plays an important role in the pathogenesis of periodontal diseases. A faulty occlusion may induce traumatic lesions in the supporting periodontal structures, thereby adversely affecting the long-term prognosis of tooth/teeth. Occlusion may also indirectly affect the periodontal health status by interfering with the plaque elimination and by influencing periodontal defense mechanism.…

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Periodontal treatment of medically compromised patients (Hematological conditions)

Introduction to bleeding disorders There are various causes of excessive bleeding including coagulation factor deficiencies, fibrinolytic defects, vascular disorders and platelet disorders. Patients with congenital bleeding disorders have an increased risk of significant bleeding from invasive dental and oral surgery procedures. A thorough knowledge of the blood clotting mechanism is essential for the understanding and…

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Periodontal treatment of medically compromised patients (Endocrine system)

Introduction There are many endocrinal disorders associated with significant problems in the human body. Many patients with these disorders seek periodontal treatment. Hence, it becomes essential for a periodontist to understand these disorders and provide appropriate treatment to patients with endocrinal disorders. In the following discussion, we shall read about these disorders and periodontal management…

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Periodontal treatment of medically compromised patients (Cardiovascular system)

Introduction One of the major challenges faced by dental specialists today is the assessment and management of patients with increasingly complex medical conditions. These medical conditions can alter both, the course of the oral disease and the therapy provided. Therefore, it is important for a clinician to identify patient’s medical status to formulate a proper…

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